Provider Demographics
NPI:1366429128
Name:SIAO, SEIN H (DMD)
Entity type:Individual
Prefix:DR
First Name:SEIN
Middle Name:H
Last Name:SIAO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BURR ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4616
Mailing Address - Country:US
Mailing Address - Phone:508-875-4029
Mailing Address - Fax:508-384-2531
Practice Address - Street 1:14 COMMON ST
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1348
Practice Address - Country:US
Practice Address - Phone:508-384-8136
Practice Address - Fax:508-384-2531
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice